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HomeMy WebLinkAboutMechanical Permit 13. 0776 7 }§ \ 2 j j �W§ \ \ ��\\k < 7 N rs 0 2W a . 0 0 § N o ■wwm ec ( E q�ƒ$ $ 7 ! OOOOO� § u w i 4 L { Z \ 0 6 § §« ` . 0 0 0® w � I- 2 0 E 000 § w \ k 0 w o z f � w 1 0 1 1 . o oz N _ Q ) ww X l e O.27 z 0 0 e w 00000 w 0 a. 0 a. E I � o a 0 \ J 0 \ ( L 0 k ? § $ § § . cC 2 Oz S § § k § § z / 0 Q < (9 � z 2 u) 0 0 #? �/ 4 % 2\$ &)u 2 . \ 0 \ 0 \ © Q t y u 0 �2�� a B 0 0 / \ k $ 0 u.u. I� CO 0 - 5 z 4 0 a 000000 0 r R1 o CITY OF PRIOR LAKE Date Rec'd ° HEATING /AIR CONDITIONING /FIREPLACE PERMIT x c) ra I. P nk File PERMIT NO. ,Ar J fn7VES 2. Yellow Applicant City /3 V 77/� { 3. Yello f!✓ I I _ (Please type or print and sign at bottom) ZONING (office use) L tq ADDRESS ZONING u I n 1 II. p. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER I i , Q6 - 9O1 `3 als' (Name) ` O • 1� ES '�, ,� (Phone) (Address) — �--° APPLICANT 10 .142) t? dnec ) `gal ) �J (Address) i ' D- C 1 0 T 1 On ..+' r 1 -dQ `1 _ 3 - (Addres (City) (Zip Code) • 1 O (Contact Person) , e �1 , : . 4 Arita (Phone) — la, APPLICANT SIGNA ' 0 1 .f. fir DATE to _ APPLICANT PLEA COMPLETE BELOW ❑NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIONS �_J,� AND MODEL 3(2 FUEL ✓�!I! 1�-# FLUE SIZE 3 41(1 RET OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation Fireplaces with Box Additions or Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑ Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi- Family I% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) 564.50 A Residential, AC Only $49.50 Estimated Cost $ SILAJI Building Permit # The Minnesota Statute s§ 32613. ,(� "St;12C11ARGE" has been changed for one I HEATING PERMIT FEE $ `_ q • year effectiFe STATE SURCHARGE $ .50 Jul) 1, 21110, until .d■nt 311, 2011. TOTAL PERMIT FEE $ go. 00 - I lie minimum surcharge for a "fixed fee" permit is ice, beginning July 1.2010 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid j--g n D Receipt No. ' 9s Hy Date By !lumina Official Date V/ th 3 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372